Individual
MRS. BERTHE BOUKIDJIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
18372 CLARK ST STE 228, TARZANA, CA 91356-3555
(818) 881-9192
Mailing address
20230 KESWICK ST UNIT 19, WINNETKA, CA 91306-4463
(818) 450-7441
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1074313
CA
Other
Enumeration date
10/27/2011
Last updated
11/23/2011
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